Complaint Investigation Report

with staff S1 stated she has first aid training and had trained the new staff but did not record the training. During record review LPA did not observe any training records and that only one staff S3 had first aid training.

On the allegation Staff are not adequately maintaining residents’ records.

RP reported that the residents’ records are not current, which poses a potential problem if the staff is not aware of the residents’ conditions. LPA reviewed all the resident records and observed none of the residents have a current appraisal needs and services plan, two of four were missing the consent form, a current physician’s report, and the ID and emergency information. None of the resident records contained personal rights or safeguards for property/valuables.

Based on LPAs observations, interviews conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED .

Both substantiated allegations were cited on the required annual inspection on 10/04/2023.

Exit interview conducted and a copy of this report provided.